ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse in a well-child clinic receives a phone call from the parent of an adolescent client. The parent states,"I think my son might try to kill himself. Which of the following statements by the parent is the priority for the nurse to investigate further?
Correct Answer: D
Rationale: Cutting marks indicate self-harm a critical suicide risk factor.
Question 2 of 5
A nurse is assessing an older adult client's ability to make a successful role transition to widowhood following the death of her partner. Which of the following factors should the nurse include in the assessment? (Select all that apply.)
Correct Answer: B,C,D,,E
Rationale: Support groups health status family support and spiritual involvement aid coping with widowhood unlike advance directives.
Question 3 of 5
A nurse is assessing a client who reports using cocaine 1 hr ago. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Cocaine causes fever due to stimulant effects.
Question 4 of 5
A nurse in an acute care facility is assessing a client who has schizophrenia. The client states,Walk tall broom short dag bell. The nurse should document the client's speech as which of the following speech patterns?
Correct Answer: B
Rationale: Word salad refers to incoherent random word combinations as seen in the client's speech typical in schizophrenia.
Question 5 of 5
A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?
Correct Answer: B
Rationale: The duty to warn requires notifying potential victims of credible threats based on legal precedents like the Tarasoff case.